Provider Demographics
NPI:1326090432
Name:LIAO, PEGGY MEI-CHI (MD)
Entity Type:Individual
Prefix:DR
First Name:PEGGY
Middle Name:MEI-CHI
Last Name:LIAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1319 PUNAHOU STREET
Mailing Address - Street 2:SUITE 620
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-1032
Mailing Address - Country:US
Mailing Address - Phone:808-949-4558
Mailing Address - Fax:808-949-1055
Practice Address - Street 1:1319 PUNAHOU STREET
Practice Address - Street 2:SUITE 620
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96826-1032
Practice Address - Country:US
Practice Address - Phone:808-949-4558
Practice Address - Fax:808-949-1055
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-17
Last Update Date:2020-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD8275207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI06045501Medicaid
HI080275OtherHMSA BCBS
HIH0000BFBMDMedicare ID - Type Unspecified
HI06045501Medicaid